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Assessing the Efficacy of a PhotoVoice-Informed HIV Stigma Training for Health Care Workers


HIV stigma is a harmful social phenomenon present in United States (US)-based health care settings. This study assessed the efficacy of a participatory PhotoVoice-informed stigma reduction training program focusing on people living with HIV (PLWH) and targeting health care workers. Seventy-three (N = 73) participants were assessed at baseline (T1), within approximately a week of the training (T2), and at a 3-month follow-up (T3) regarding their HIV/AIDS knowledge, attitudes towards PLWH, and observations of enacted HIV stigma. Findings indicated that the training increased knowledge and improved attitudes (β = 0.56, p < 0.01; β = 0.58, p < 0.01, respectively) at T2, but these effects diminished at T3 (β = − 0.03, p > 0.05; β = − 0.29, p > 0.05, respectively). The training did not, however, have an impact on observations of enacted stigma at T2 (β = 0.10, p > 0.05) or at T3 (β = 0.02, p > 0.05). Additional participatory stigma reduction programs that involve diverse groups of health care workers, offer salient study incentives, include time-saving training methods, and comprise a variety of stigma measures, may be particularly beneficial.

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The authors express their sincere gratitude to the participants of this study for their invaluable contributions and to the University of California Irvine Newkirk Center for Science and Society for supporting this research.


The study was funded by the UC Irvine Newkirk Center for Science & Society.

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Correspondence to Mariam Davtyan.

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Davtyan, M., Bartell, S.M. & Lakon, C.M. Assessing the Efficacy of a PhotoVoice-Informed HIV Stigma Training for Health Care Workers. AIDS Behav 24, 65–80 (2020). https://doi.org/10.1007/s10461-019-02710-6

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  • PhotoVoice
  • Participatory
  • HIV stigma
  • Training program
  • Health care workers